H53.411
BillableScotoma involving central area, right eye
This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).
What This Code Means
A scotoma is a blind spot or area of vision loss in the central part of the visual field of the right eye. This condition affects the ability to see clearly in the middle of what you're looking at directly.
Coding Tips
- •Always specify laterality (right eye, left eye, or bilateral) as H53.411 specifically indicates the right eye; use H53.412 for left eye and H53.413 for bilateral
- •Scotomas involving the central area may be associated with macular degeneration, optic nerve disease, or other retinal conditions; document the underlying cause if known to support medical necessity
Code Hierarchy
└H53Visual disturbances└H53.4Visual field defects└H53.41Scotoma involving central area└H53.411Scotoma involving central area, right eye
└H53.411Scotoma involving central area, right eye